Brian Lamb School of Communication, Purdue University.
Health Commun. 2020 Sep;35(10):1283-1288. doi: 10.1080/10410236.2019.1625005. Epub 2019 Jun 4.
Despite recommendations to provide patient-centered care (i.e., empowering patients to take a greater role in their care), healthcare systems still lag behind in helping patients make arguably one of their most important decisions - their initial selection of a primary care provider. While prior highly-controlled, theoretically-guided, experimental research has tested how various presentations of provider information may impact patients' decision-making processes, no studies to date have taken the next step to actually roll out improvements to providers' online information in a real-world healthcare organization and assess their effects. Over the course of a year, the current study made improvements to the website of a health clinic (i.e., adding biographies of primary care providers, & including short video introductions). Post-consultation questionnaires completed by first-time patients revealed patients who naturally viewed online biographies prior to setting appointments indicated less uncertainty - which was mediated through increases in perceived similarity - and were more likely to purposely select their providers. Patients who purposely selected their providers also reported greater patient satisfaction, and were more likely to choose providers with whom they perceived greater similarity. Similarity and patient satisfaction were also positively related. Overall, findings indicate online provider biographies can help patients become more purposive participants in their care, which can lead to greater patient satisfaction.
尽管有建议提倡提供以患者为中心的护理(即,赋予患者更大的自主权,使其在护理过程中发挥更大的作用),但医疗保健系统在帮助患者做出可能是他们最重要的决定之一方面仍落后,即他们最初选择初级保健提供者。虽然之前有高度控制、理论指导、实验研究测试了各种提供信息的方式如何影响患者的决策过程,但迄今为止,没有研究采取下一步措施,即在实际的医疗保健组织中改进提供者的在线信息,并评估其效果。在一年的时间里,本研究对一家健康诊所的网站进行了改进(即,添加了初级保健提供者的简介,并包括简短的视频介绍)。首次就诊的患者在咨询后完成的问卷调查显示,那些在预约前自然查看在线简介的患者表示不确定性较少——这是通过增加感知相似性来实现的——并且更有可能有意选择他们的提供者。有意选择提供者的患者还报告说患者满意度更高,并且更有可能选择他们认为更相似的提供者。相似性和患者满意度也呈正相关。总的来说,研究结果表明,在线提供者简介可以帮助患者更有意地参与护理,从而提高患者满意度。